Managing Mutrashmari through Ayurvedic Drugs-I: Kulattha (Dolichos biflorus Linn)

What is it about?

Managing Mutrashmari through Ayurvedic Drugs-I: Kulattha (Dolichos biflorus Linn)

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Photo by Myriam Zilles on Unsplash

Photo by Myriam Zilles on Unsplash

Why is it important?

This paper presents the findings of a clinical trial conducted in the suburbs of Jammu (Jammu & Kashmir State) to assess the efficacy of Kulattha— a herbal drug, on a random sample of ten mutrashmari patients. In all there were 12 calculi stones, of which 9 were in Kidney and 3 were in Ureter. There were in all 12 Ashmari stones, out of which 8 (67%) were unilateral and single, 1 site (16%) was multiple (double) but unilateral while the remaining 2 (17%) were bilateral and single in each kidney. Calculi were classified into two size ranges namely <4 mm & 4–8 mm. Ninety percent calculi were in the size range of 4–8 mm and the remaining 10% cases were in the range of <4 mm. The Kulattha therapy completely cured 4 (33.3%) of the Mutrashmari cases. It markedly improved 4 (33.4%) cases and improved 3 (25.0%) of the cases. Only 1 (8.4%) cases did not show significant response to therapy. The overall rating of the therapy was 1.9. In all there were 9 Kidney stones. Three stones (33.4%) were completely cured, 3 (33.3%) were improved. Two (22.2%) were improved towards curing but 1 (11.1%) did not respond to the therapy. Overall rating of the therapy was 1.9. There were 3 Ureter stones. One (33.3%) each, was cured, markedly improved and improved respectively. Overall rating of the therapy towards Ureter stones was 2.0. Kaphaja Ashmari was represented in 6 (53%) of the patients, followed by 3 (27%) in Vataja and 1 (20%) in Pittaja Ashmari. This shows the dominance of Kaphaja type of Ashmari in the study area. There were 8 stones with Kaphaja Ashmari, out of which 3 (37.5%) were completely cured, 4 (50%) stones were markedly improved and 1 (12.5%) showed improvement in symptoms. The therapy depicted good overall rating of 2.3. There was only one stone of Pittaja Ashmari type and no significant improvement was noticed in this case. There were 3 stones with Kaphaja Ashmari, out of which 1 (33.3%) case was completely cured, while improvement in the remaining 2 (66.7%) stones was recorded. The therapy depicted an overall rating of 1.7. The effect of Kulattha was highly significant on Mutradhara Sanga (58.3%), Basti Vedana (47.1%), Atiavila Mutrata (41.2%) and Nabhi Vedana (39.1%). The effect was significant on Gomeda Prakasam (57.1%) while non-significant effect was observed on Sarudhiramutrata (57.1%), Sevani Vedana (36.4%) and Mehan Vedana (20.0%). The effect was highly significant on Dysuria (61.5%) followed by Pain (58.1%) and Hematuria (44.4%). Significant effect was found on Tenderness at Renal Angle (62.5%) and Burning Micturition (35.3%). Nausea and vomiting and fever parameters did not affect the sample cases. The Post-therapy results in comparison to pre-therapy results showed a decreasing trend in certain parameters while an increasing trend in others. All the parameters, however, remained within their normal limits both in the pre and post-therapy observations. Overall Success Rate of Kulattha therapy in mitigating the problems of Mutrashmari and removal/disintegration of the calculi was 63.3 percent.

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